Observational studyKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Preoperative soft tissue laxity around knee was associated with less accurate alignment correction after hybrid closed-wedge high tibial osteotomy.
Observational study in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Evaluation of Accuracy of Preoperative Planning of the Femurofibular Angle in Open-Wedge High Tibial Osteotomy for Mild Medial Knee Osteoarthritis.BioMed research international · 2021Trial
- Preoperative standing-supine difference in joint line convergence angle predicts postoperative alignment change after closing-wedge high tibial osteotomy.Journal of experimental orthopaedics · 2026Article
- Postoperative Joint Line Convergence Angle (JLCA) following high tibial osteotomy is affected not only by preoperative JLCA but also by postoperative hip-knee-ankle angle.Journal of experimental orthopaedics · 2026Article
- Digitized Precision Corrective Osteotomy for Treating Knee Joint Deformities: Current Evidence and Future Perspectives.Orthopaedic surgery · 2025Review
- Appropriate patient selection based on joint line convergence angle minimizes the difference between the mechanical axis in the standing and supine positions after open-wedge high tibial osteotomy and distal tuberosity osteotomy.Journal of orthopaedic surgery and research · 2025Article
- Male Sex Is an Associated Factor for Delayed Bone Union Following Hybrid Closed-Wedge High Tibial Osteotomy.Medicina (Kaunas, Lithuania) · 2024Article
- Preoperative Joint Line Convergence Angle as an Indicator of Clinical Outcomes and Accuracy of Alignment Correction After Double-Level Osteotomy.Orthopaedic journal of sports medicine · 2024Article
- Difference in Correction Power between Hybrid Lateral Closed-Wedge High Tibial Osteotomy and Medial Open-Wedge High Tibial Osteotomy was Associated with Severity of Varus Deformity and Different Hinge Distance from Center of Deformity.Diagnostics (Basel, Switzerland) · 2024Article
- Joint line and knee osteotomy.EFORT open reviews · 2024Review
- Article
- The joint line convergence angle (JLCA) correlates with intra-articular arthritis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- A novel geometrical planning method to restore knee joint obliquity in double-level osteotomies.Archives of orthopaedic and trauma surgery · 2023Article
- Impacted bone allograft personalised by a novel 3D printed customization kit produces high surgical accuracy in medial opening wedge high tibial osteotomy: a pilot study.Journal of experimental orthopaedics · 2023Article
- Femoral morphology affects postoperative alignment of the lower extremities in hybrid closed-wedge high tibial osteotomy.Archives of orthopaedic and trauma surgery · 2022Article
- Surgical planning of osteotomies around the knee differs between preoperative standing and supine radiographs in nearly half of cases.BMC musculoskeletal disorders · 2022Article
- Reliability of Preoperative Planning Method That Considers Latent Medial Joint Laxity in Medial Open-Wedge Proximal Tibial Osteotomy.Orthopaedic journal of sports medicine · 2021Article
- Managing intra-articular deformity in high Tibial osteotomy: a narrative review.Journal of experimental orthopaedics · 2020Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aimed to assess the effect of soft tissue correction due to knee joint laxity, which induces alignment error after hybrid closed-wedge high tibial osteotomy (CWHTO). In addition, to verify whether postoperative soft tissue correction can be predicted from preoperative radiographic parameters.
methodsA retrospective evaluation of data from patients treated by CWHTO in 2016-2019 was performed. Standing full-length anteroposterior radiograph measurement was performed pre- and post-surgery, and short anteroposterior radiographs of the knee under maximal manual varus and valgus stress were taken preoperatively. The weight-bearing line, hip-knee-ankle angle (HKA), medial proximal tibial angle (MPTA), and joint line convergence angle (JLCA) were measured, in addition to JLCA under varus or valgus conditions. Soft tissue correction was defined as ΔHKA minus ΔMPTA. Multiple regression analysis was performed to evaluate preoperative factors that could influence soft tissue correction.
resultsData from 49 knees were included in the analysis. The mean soft tissue correction was 3.2°, which indicates an over-correction. Multiple regression analysis revealed that JLCA (β = 0.642; p < 0.001) and valgus JLCA (β = - 0.422; p = 0.001) were significantly associated with postoperative soft tissue correction. The final model of the regression formula was described by the following equation: postoperative soft tissue correction = 0.691 × JLCA - 0.411 × valgus JLCA - 0.399.
conclusionPreoperative values for JLCA and JLCA under valgus stress are associated with soft tissue correction. Surgeons should, therefore, consider these measurements to achieve postoperative limb alignment.
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